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Organization
JOSE A.D. CALLUENG MD PA
Active
Organization
JOSE A.D. CALLUENG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A.D. CALLUENG M.D. (PRESIDENT)
(352) 628-7270
Entity
Organization
Contact information
Practice address
8468 W. PERIWINKLE LANE, SUITE C, HOMOSASSA, FL 34446-1147
(352) 628-7270
(352) 628-1620
Mailing address
8468 W. PERIWINKLE LANE, SUITE C, HOMOSASSA, FL 34446-1147
(352) 628-7270
(352) 628-1620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 27910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037510100
—
FL
Enumeration date
05/06/2010
Last updated
05/06/2010
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